Active Offer: Nurses’ Power and Privilege Influencing Francophone and Acadian Patient Safety
DOI:
https://doi.org/10.25071/2291-5796.26Keywords:
Privilege, Safety, Language, Acadian, EquityAbstract
Nurses must communicate effectively with patients of a minority language to mitigate the risks of significant and costly patient safety issues. Within Canada’s predominant English healthcare delivery system, inadequate language translation during the provision of care between nurses fluent in English and patients whose primary language is Francophone or Acadian increases the risk of health inequities. This discussion explores the impact of nurses’ power and privilege related to Francophone and Acadian patient safety within an English-dominated healthcare system and their role to affect change. Through reflective practice, critical inquiry and activating the ‘Active offer’, nurses will be empowered to reduce safety risks for this population.
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Bladon, H. (2019). Avoiding paternalism. Issues in Mental Health Nursing, 40(7), 579-584.https://doi.org/10.1080/01612840.2019.1570405 DOI: https://doi.org/10.1080/01612840.2019.1570405
Bowen, S. (2015). The impact of language barriers on patient safety and quality of care: Final report [PDF file]. Société Santé en français. Retrieved from http://www.reseausantene.ca/wp-content/uploads/2018/05/Impact-language-barrier-qualitysafety.pdf
Canadian Nurses Association (2017). Code of ethics for registered nurses [PDF file]. Retrieved from https://www.cna-aiic.ca/~/media/cna/page-content/pdf-en/code-of-ethics-2017-edition-secure-interactive
Canadian Patient Safety Institute (2016). Glossary. Retrieved from https://www.patientsafetyinstitute.ca/en/toolsResources/PatientSafetyIncidentManagementToolkit/Pages/Glossary.aspx
Carnevale, F. A., Vissandjée, B., Nyland, A., & Vinet-Bonin, A. (2009). Ethical considerations in cross-linguistic nursing. Nursing Ethics, 16(6), 813-826. https://doi.org/10.1177/0969733009343622 DOI: https://doi.org/10.1177/0969733009343622
Collins, A. M. (2018). Language, power, and oppression in the LIS diversity void. Library Trends, 67(1), 39-51. doi:10.1353/lib.2018.0024https://doi.org/10.1353/lib.2018.0024
Consortium National de Formation en Santé (2019). Toolbox for the active offer. Retrieved from https://offreactive.com/home
de Moissac, D. & Drolet, M. (2017). Issues and challenges in providing services in the minority language: The experience of bilingual professionals in the health and social service network [PDF file]. In Marie Drolet, Pier Bouchard & Jacinthe Savard's (Eds.) Accessibility and active offer: Health care and social services in linguistic minority communities (pp. 189 - 207). Ottawa, ON: University of Ottawa Press. Retrieved from https://ruor.uottawa.ca/bitstream/10393/36974/1/9780776625645_WEB.pdf https://doi.org/10.2307/j.ctv5vdcxc.13 DOI: https://doi.org/10.2307/j.ctv5vdcxc.13
de Moissac, D., & Bowen, S. (2019). Impact of language barriers on quality of care and patient safety for official language minority Francophones in Canada. Journal of Patient Experience, 6(1), 24-32. https://doi.org/10.1177/2374373518769008 DOI: https://doi.org/10.1177/2374373518769008
Dubouloz, C-J, Benoît, J., Savard, J., Guitard, P., and Bigney, K. (2017). Teaching Active Offer: Proposal for an educational framework for professors [PDF file]. In Marie Drolet, Pier Bouchard & Jacinthe Savard's (Eds.) Accessibility and active offer: Health care and social services in linguistic minority communities (pp. 259 - 280). Ottawa, ON: University of Ottawa Press. Retrieved from https://ruor.uottawa.ca/bitstream/10393/36974/1/9780776625645_WEB.pdf https://doi.org/10.2307/j.ctv5vdcxc.16 DOI: https://doi.org/10.2307/j.ctv5vdcxc.16
Farmanova, E., Bouchard, L., & Bonneville, L. (2018). Success strategies for linguistically competent healthcare: The magic bullets and cautionary tales of the 'Active offer' of French-language health services in Ontario. Healthcare Quarterly, 20(4), 24-30. https://doi.org/10.12927/hcq.2018.25427 DOI: https://doi.org/10.12927/hcq.2018.25427
Government of Canada (2018). Investing in our future 2018-2023 action plan for official languages [PDF file]. Retrieved from https://www.canada.ca/content/dam/pch/documents/services/official-languages-bilingualism/official-languages-action-plan/action-plan.pdf
Green, M. (2017). Language barriers and health of Syrian refugees in Germany. American Journal of Public Health, 107(4), 486. https://doi.org/10.2105/AJPH.2016.303676 DOI: https://doi.org/10.2105/AJPH.2016.303676
Green, A. & Nze, C. (2017). Language-based inequity in health care: Who is the "poor historian"? American Journal of Ethics, 19(3), 263-271. https://doi.org/10.1001/journalofethics.2017.19.3.medu1-1703 DOI: https://doi.org/10.1001/journalofethics.2017.19.3.medu1-1703
Hartrick Doane, G., & Varcoe, C. (2015). How to nurse. Philadelphia, PA: Wolters Kluwer Health.
Health Canada (2019). Savoir-santé en français Retrieved from https://www.savoir-sante.ca/en/
Health Standards Organization (2019). Standards CAN/HSO 11012:2018 - Access to health and social services in official languages. Retrieved from https://healthstandards.org/standard/access-health-social-services-official-languages/
Hurtig, R. R., Alper, R. M., & Berkowitz, B. (2018). The cost of not addressing the communication barriers faced by hospitalized patients. Perspectives of the ASHA special interest groups, 3(12), 99-112. https://doi.org/10.1044/persp3.SIG12.99 DOI: https://doi.org/10.1044/persp3.SIG12.99
Hu, P. (2018). Language barriers: How professional interpreters can enhance patient care. Radiologic Technology, 89(4). 409 - 412. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=128159142&site=ehost-live
Jobb, D. (2005). The Acadians: A people's story of exile and triumph. Mississauga, ON: John Wiley & Sons Canada, Ltd.
Kaihlanen, A., Hietapakka, L. & Heponiemi, T. (2019). Increasing cultural awareness: Qualitative study of nurses' perceptions about cultural competence training. BMC Nursing, 18(38), 1-9. https://doi.org/10.1186/s12912-019-0363-x DOI: https://doi.org/10.1186/s12912-019-0363-x
Laxer, J. (2006). The Acadians: In search of a homeland. Random House of Canada Ltd: USA.
Leininger, M. (2006). Leininger's sunrise enabler guide. Retrieved https://creativecommons.org/licenses/by/4.0/. Under a Creative Commons Attribution 4.0 International License Full terms https://creativecommons.org/licenses/by/4.0/
Lokko, H. N., & Stern, T. A. (2015). Regression: Diagnosis, evaluation, and management. The Primary Care Companion for CNS Disorders, 17(3), https://doi.org/10.4088/PCC.14f01761 DOI: https://doi.org/10.4088/PCC.14f01761
Margolin, L. (2015). Unpacking the invisible knapsack: The invention of white privilege pedagogy. Cogent Social Sciences, 1(1), 1-9. https://doi.org/10.1080/23311886.2015.1053183 DOI: https://doi.org/10.1080/23311886.2015.1053183
McArthur, G.C. & Jakubec, S. (2019). Cultural considerations for psychiatric mental health nursing. In Margaret Jordan Halter, Cheryl Pollard and Sonya Jakubec's (Eds.) Varcarolis Canadian Psychiatric Mental Health Nursing: A Clinical Approach (pp. 115 - 132). Milton, ON: Elsevier.
McGibbon, E. & Wambui Mbugua, J. (2019). Race and racialization and health, healthcare, and nursing education. In Carol McDonald and Marjorie McIntyre's (Eds.). Realities of Canadian nursing: Professional, practice, and power issues (pp. 16-31). Philadelphia, PA: Wolters Kluwer.
McGibbon, E., Bailey, A., & Lukeman, S. (2020). Violence and health. In Lynnette Leeseberg Stamler, Lucia Yiu, Aliyah Dosani, Josephone Etowa & Cheryl van Daalen-Smith's Community Health Nursing: A Canadian Perspective (pp. 503-520).Toronto, ON: Pearson Canada Inc.
McIntyre, M. & McDonald, C. (2019). Nursing issues: A call to political action. In Carol McDonald and Marjorie McIntyre's (Eds.). Realities of Canadian nursing: Professional, practice, and power issues (pp.3-15). Philadelphia, PA: Wolters Kluwer.
Meuter, R. F., Gallois, C., Segalowitz, N. S., Ryder, A. G., & Hocking, J. (2015). Overcoming language barriers in healthcare: A protocol for investigating safe and effective communication when patients or clinicians use a second language. BMC Health Services Research, 15(1),371 - 376 https://doi.org/10.1186/s12913-015-1024-8 DOI: https://doi.org/10.1186/s12913-015-1024-8
Municipality of the District of Argyle (2019, May 27). The region of Southwest Nova Scotia to host the Congrès Mondial Acadien 2024. Retrieved from https://www.munargyle.com/en/the-region-of-southwest-nova-scotia-to-host-the-congres-mondial-acadien-2024.html
Nápoles, A. M., Santoyo-Olsson, J. S., Karliner, L. E., Gregorich, S. J., & Pérez-Stable, E. (2015). Inaccurate language interpretation and its clinical significance in the medical encounters of Spanish-speaking Latinos. Medical Care, 53(11), 940-947. https://doi.org/10.1097/MLR.0000000000000422 DOI: https://doi.org/10.1097/MLR.0000000000000422
Nova Scotia College of Nursing (2013). Entry-level competencies for registered nurses in Nova Scotia [PDF file]. Retrieved from https://www.nscn.ca/sites/default/files/documents/resources/EntryLevelCompetenciesRN.pdf
Nova Scotia College of Nursing (2017). Standards of practice for registered nurses [PDF file]. Retrieved from https://cdn1.nscn.ca/sites/default/files/documents/resources/RN%20Standards%20of%20Practice.pdf
Nova Scotia College of Nursing (2019). Continuing competence program. Retrieved from https://www.nscn.ca/professional-practice/continuing-competence/continuing-competence-program
Office of the Commission of Official Languages (2018). Fast figures on Canada's official languages (2016). Retrieved from https://www.clo-ocol.gc.ca/en/statistics/canada
Páez Silva, A. & Lavoie, E. (2019). The french language in Nova Scotia, 2001 to 2016: Facts and figures. Statistics Canada. Retrieved from https://www150.statcan.gc.ca/n1/pub/89-657-x/89-657-x2019004-eng.htm
Paradise, R.K., Hatch, M.E., Quessa, A., Gargano, F., Khaliif, M., & Costa, V. (2019). Reducing the use of ad hoc interpreters at a safety net health care system. Joint Commission Journal on Quality and Patient Safety, 45(6), 397-405. https://doi.org/10.1016/j.jcjq.2019.01.004 DOI: https://doi.org/10.1016/j.jcjq.2019.01.004
Potter, P & Cobbett, S. (2020). Patient safety. In Patricia Perry and Shelley Cobbett's (Eds.) Canadian Clinical Nursing Skills + Skills Techniques, (pp. 355-457). Milton, ON: Elsevier.
Réseau Santé - Nouvelle-Écosse (2019). Bonjour! Program. Retrieved from http://www.reseausantene.ca/bonjour-program/
Rodney, P. A. (2017). What we know about moral distress. American Journal of Nursing, 117 (Suppl.), S7-S10. https://doi.org/10.1097/01.NAJ.0000512204.85973.04 DOI: https://doi.org/10.1097/01.NAJ.0000512204.85973.04
Saulnier-Boudreau, N. (2004). The strength of a people: Acadian history in general terms. Kingston, NS; T & S Office Essentials & Printing.
Schiffinger, M., Latzke, M. & Steyrer, J. (2016). Two sides of the safety coin?: How patient engagement and safety climate jointly affect error occurrence in hospital units. Health Care Management Review, 41(4), 356-367. https://doi.org/10.1097/HMR.0000000000000083 DOI: https://doi.org/10.1097/HMR.0000000000000083
Société Santé en français (2017). 'Active offer' of French-language health services: Joint position statement. [PDF file].
Health Canada. Retrieved from https://www.savoir-sante.ca/en/themes/active-offer/download/351/428/21?method=view
Société Santé en français (2018). About Société Santé en français. Retrieved from https://www.santefrancais.ca/en/ssf/
Statistics Canada (2017). An increasingly diverse linguistic profile: Corrected data from the 2016 census. Retrieved from https://www150.statcan.gc.ca/n1/daily-quotidien/170817/dq170817a-eng.htm?indid=17282-2&indgeo=0
Tote, A.H., Leis, A. Denis, W., & Karunanayake, C. (2015). Lost in policy translation: Canadian minority Francophone and health disparities. Canadian Public Policy, 41(2), S44- S52. https://doi.org/10.3138/cpp.2014-073 DOI: https://doi.org/10.3138/cpp.2014-073
Trimble, E. (2014). The rural interpreter: Perspectives on professional development and professional partnerships (master's thesis) [PDF file]. Western Oregon University, Monmouth, Oregon. Retrieved from https://digitalcommons.wou.edu/cgi/viewcontent.cgi?article=1019&context=theses
van Rosse, F., de Bruijne, M., Suurmond, J., Essink-Bot, M.-L., & Wagner, C. (2016). Language barriers and patient safety risks in hospital care. A mixed methods study. International Journal of Nursing Studies, 54, 45-53. https://doi.org/10.1016/j.ijnurstu.2015.03.012 DOI: https://doi.org/10.1016/j.ijnurstu.2015.03.012
Varcarolis, E. (2019). The nursing process and standards of care for psychiatric mental health nursing. In Margaret Jordan Halter, Cheryl Pollard & Sonya Jakubec's (Eds.) Varcarolis's Canadian Psychiatric Mental health Nursing: A Clinical Approach (pp. 80-95). Toronto, ON: Elsevier Canada.
Varcoe, C. Browne, A., Cender, L. (2014). Promoting social justice and equity by practicing nursing to address structural inequities and structural violence. In Paula Kagan, Marlaine Smith & Peggy Chinn's (Eds.) Philosophies and practices of emancipatory nursing: Social justice as praxis (pp. 266 - 284). New York, NY: Routledge. https://doi.org/10.4324/9780203069097-20 DOI: https://doi.org/10.4324/9780203069097-20
Wehbe-Alamah, H. B. (2020). Madeleine Leininger's Theory of Culture Care Diversity and Universality. In M. C. Smith (Ed.). Nursing Theories and Nursing Practice (5th ed.) (pp.293 - 309). Philadelphia PA, F. A. Davis.
Yeung, S. (2016). Conceptualizing cultural safety: Definitions and applications of safety in health care for Indigenous mothers in Canada. Journal for Social Thought 1(1), 1-13. Retrieved from https://pdfs.semanticscholar.org/90b0/a619ebb52a2663c731d4ca22cbb1c48a8cc1.pdf
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